JEREMY LARSON

BOARDMAN, OR
NPI1770861791
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D9625)
Enumeration Date2011-07-25
Last Update Date2015-01-27
Business Address
-- JEREMY LARSON DMD
300 TATONE
BOARDMAN, OR 97818
Phone number: 888-468-0022
Mailing Address
-- JEREMY LARSON DMD
442 SW UMATILLA AVE SUITE 200
REDMOND, OR 97756-7039
Phone number: 541-504-3900